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Early breakfast is important for people with Type II diabetes

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Turns out, people with Type II diabetes who eat breakfast later, are more likely to have a higher Body Mass Indices (BMI).

According to a study conducted by the University of Illinois at Chicago, an ‘evening person’ is linked to higher body mass indices among people with Type II diabetes, and having breakfast later in the day seems to be what drives this association.

Obesity is common among people with Type II diabetes. Having an evening preference – waking up later and going to bed later – has been linked to an increased risk for obesity, but research is lacking regarding this phenomenon among people with Type II diabetes.

 

Researchers, led by Sirimon Reutrakul, wanted to determine if morning or evening preference among people with Type II diabetes was associated with an increased risk for higher BMI and if so, what specific factors about evening preference contributed to the increased risk.

Reutrakul and her colleagues recruited 210 non-shift workers living in Thailand with Type II diabetes for their study.

Morning/evening preference was assessed using a questionnaire that focused on preferred time for waking up and going to bed; time of day spent exercising; and time of day spent engaged in a mental activity (working, reading, etc.).

Participants were interviewed regarding their meal timing, and daily caloric intake was determined via self-reported one-day food recalls. Weight measurements were taken and BMI was calculated for each participant. Sleep duration and quality were measured by self-report and questionnaire.

Self-reported average sleep duration was 5.5 hours/night. On average, participants consumed 1,103 kcal/day. The average BMI among all participants was 28.4 kg/m2 — considered overweight. Of the participants, 97 had evening preference and 113 had morning preference.

Participants with morning preference ate breakfast between 7 a.m. and 8:30 a.m., while participants with evening preference ate breakfast between 7:30 a.m. and 9 a.m.

Participants with morning preference had earlier meal timing, including breakfast, lunch, dinner and the last meal.

The researchers found that having more evening preference was associated with higher BMI. Caloric intake and lunch and dinner times were not associated with having a higher BMI.

Morning preference was associated with earlier breakfast time and lower BMI by 0.37 kg/m2.

“Later breakfast time is a novel risk factor associated with a higher BMI among people with Type 2 diabetes,” said Reutrakul. “It remains to be investigated if eating breakfast earlier will help with body weight in this population.”

Reutrakul speculated that later meal times may misalign the internal biological clock, which plays a role in circadian regulation.

The findings from the study are published in the journal Diabetic Medicine.


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Health

Balanced protein intake better for health

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Researchers suggest that excessive consumption of protein for building muscle mass could have a negative impact on the body. However, wide-range of protein is best to maintain balance. Amino acids have long been touted by the fitness and bodybuilding communities for their muscle building benefits. From ultra-bulk protein powders to lean mass-promoting snack bars, there’s no shortage of products available for those seeking a muscle boost.

However, protein’s popularity has also meant that less attention has been paid to researching its potentially negative side-effects.

According to the study published in the Journal of Nature Metabolism, excessive consumption of branched-chain amino acids (BCAAs) may reduce lifespan, negatively impact mood and lead to weight gain.

 

BCAAs stands for branched-chain amino acids. It’s a group of three essential amino acids: leucine, isoleucine and valine, and are most commonly found in red meat and dairy.

BCAAs great for adding muscle mass, but science says you could pay for it later.

Researchers have investigated the complex role nutrition plays in mediating various aspects of metabolic health, reproduction, appetite and ageing.

“While diets high in protein and low in carbohydrates were shown to be beneficial for reproductive function, they had detrimental effects for health in mid-late life, and also led to a shortened lifespan,” one of the researchers, Dr Samantha Solon explained.

“What this new research has shown is that amino acid balance is important. It’s best to vary sources of protein to ensure you’re getting the best amino acid balance.”

The current research examined the impacts that dietary BCAAs and other essential amino acids such as tryptophan had on the health and body composition of mice.

“Supplementation of BCAAs resulted in high levels of BCAAs in the blood which competed with tryptophan for transport into the brain,” explained one of the researchers, Professor Stephen Simpson.

“Tryptophan is the sole precursor for the hormone serotonin, which is often called the ‘happiness chemical’ for its mood-enhancing effects and its role in promoting sleep. But serotonin does more than this, and therein lay the problem,” he added.

Dietitian and public health nutritionist Dr Rosilene Ribeiro recommend eating a wide range of proteins.

It’s important to vary protein sources in order to get a variety of essential amino acids, through a healthy and balanced diet rich in fibre, vitamins and minerals.

BCAAs are essential amino acids present in protein-containing foods, with red meat and dairy being the richest sources. Chicken, fish and eggs are also nutritious sources of BCAAs.

Vegetarians can find BCAAs in beans, lentils, nuts and soy proteins.

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Health

Know the severity of falling sick in the morning

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While sickness comes irrespective of the time, the severity of afflictions ranging from allergies to heart attacks differs in the morning from that in the night highlighted a new study. The study was published in the Journal Trends in Immunology which compiled studies, predominantly in mice, that looked at the connection between circadian rhythms and immune responses.

The body reacts to cues such as light and hormones to anticipate recurring rhythms of sleep, metabolism, and other physiological processes. The numbers of white blood cells, in both humans and mice also oscillate in a circadian manner.

Taking into account the above-mentioned facts, researchers in the study found that:

 

Heart attacks in humans are known to strike most commonly in the morning, and research suggests that morning heart attacks tend to be more severe than at night.

In mice, the numbers of monocytes, a type of white blood cell that fights off bacteria, viruses, and fungi –are elevated in the blood during the day. At night, monocytes are elevated in infarcted heart tissue, resulting in decreased cardiac protection at that time of day relative to morning.

Parasite infections are time-of-day dependent. Mice infected with the gastrointestinal parasite Trichuris muris in the morning have been able to kill worms significantly faster than those infected in the evening.

Allergic symptoms follow a time-of-day dependent rhythmicity, generally worse between midnight and early morning. Hence, the molecular clock can physiologically drive innate immune cell recruitment and the outcomes of asthma in humans, or airway inflammation in mice, the review notes.

“Investigating circadian rhythms in innate and adaptive immunity is a great tool to generally understand the physiological interplay and time-dependent succession of events in generating immune responses,” said senior author Christoph Scheiermann, University of Geneva.

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Health

ICMR develops affordable quick test kits for diagnosing genetic bleeding disorders

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The Indian Council of Medical Research (ICMR) has developed a cost-effective and rapid point-of-care test kit for diagnosing genetic bleeding disorders such as haemophilia A and Von Willebrand disease (VWD).

Diagnostics which are currently available require special equipment and are expensive.

“Both Haemophilia A and VWD are under diagnosed disorders in our country. There are only handful of comprehensive diagnostic centres for bleeding disorders,” an official at ICMR said.

 

“Lack of awareness and diagnostic facilities, high cost of tests are some of the factors for under-diagnosis of bleeding disorders in our country,” he said.

According to the ICMR, the kit is the world’s first point-of-care test for specific diagnosis of any common bleeding disorder and costs less than Rs 50 in comparison to existing conventional test that cost around Rs 4,000 to Rs 10,000.

The newly developed kit would help in diagnosis within 30 minutes of blood sample collection. Also, this will be available at any level of health care system including primary health care centres (PHCs) since it does not require any special expertise or infrastructure.

Worldwide, incidence of Haemophilia A is 1 per 10,000 male births and that of VWD is around 1 per cent of the general population.

“In India, there is no epidemiological data. We may have roughly 80,000-1,00,000 severe Haemophilia cases in our country, but the total number registered with Haemophilia Federation India (HFI) is only around 19,000,” the official said.

Patients with severe Haemophilia A or VWD can have life threatening spontaneous or post-traumatic bleeding like brain haemorrhage and gastrointestinal bleeding. In emergency medical setting, it is important to have a quick diagnosis of bleeding disorders for treatment.

This rapid test kit can be used for the diagnosis of menorrhagia cases/ post-partum haemorrhage (PPH), gynecological complications among others.

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